Rare Presentation of Adrenocortical Carcinoma in a 4-Month-Old Boy

Sonali Malhotra, Apoorva R. Waikar, Prabhsimranjot Singh, Ludovico Guarini, Elka Jacobson-Dickman, Roja Motaghedi, Irina Kazachkova

Abstract


Adrenocortical carcinoma (ACC) is a rare malignancy and even rarer in infancy. Most of these tumors in pediatric age group are hormonally active and predominantly present with virilization. Cortisol hypersecretion presenting as Cushing syndrome is extremely rare and seen in older age groups. We report a 4-month-old infant who presented with linear growth arrest and excessive weight gain in early infancy, consequently diagnosed with ACC. On long-term follow-up for 7 years, he remained metastasis free following surgical resection and was not treated with chemotherapy.




World J Oncol. 2017;8(3):81-85
doi: https://doi.org/10.14740/wjon1036w


Keywords


Adrenocortical carcinoma; Cushing syndrome; Virilizing tumors

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